November 12, 2025

What’s the next step once the employee has completed their treatment or education?
Let’s walk through what DOT says must happen—and what’s optional—once an employee is compliant.
Once the SAP determines that the employee has successfully complied with the recommended treatment or education, they must issue a final report. This report is what gives the employer the green light to move forward.
The final report must include:
This report is sent directly to the Designated Employer Representative (DER)—not to a third party.
Once the employer receives the SAP’s final report, they can:
This report is the trigger that allows the employer to move forward. Without it, they can’t legally conduct the RTD test.
Some employers choose to create a return-to-work agreement—a written document outlining expectations for the employee’s conduct, testing, and continued compliance.
But here’s the key: DOT does not require return-to-work agreements. Many employers don’t use them at all.
If an employer does choose to use one, it’s a company policy—not a DOT mandate.
Once an employee has complied with their SAP’s recommendations, the SAP’s final report sets everything in motion:
From there, it’s up to the employer to decide whether to use a return-to-work agreement—but either way, the employee is on the path back to safety-sensitive duties.


